LaSalle Parish Hospital Service District No. 1
LaSalle Parish Hospital Service District No. 1 in Olla, LA publishes cash prices for 52 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
1102 N Pine Road, Olla, LA 71465 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast | $2,164.00 | $2,705.00 | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast | $2,164.00 | $2,705.00 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast | $1,401.60 | $1,752.00 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head Stroke Protocol | $1,401.60 | $1,752.00 | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head Stroke Protocol | $1,401.60 | $1,752.00 | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast | $1,401.60 | $1,752.00 | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $1,953.60 | $2,442.00 | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $1,953.60 | $2,442.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Ankle w/o Contrast Bilateral | $2,344.00 | $2,930.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hip w/o Contrast Bilateral | $2,344.00 | $2,930.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Knee w/o Contrast Bilateral | $2,344.00 | $2,930.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Knee w/o Contrast Bilateral | $2,344.00 | $2,930.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Hip w/o Contrast Bilateral | $2,344.00 | $2,930.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Ankle w/o Contrast Bilateral | $2,344.00 | $2,930.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Hip w/ + w/o Contrast Bilateral | $3,002.40 | $3,753.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Knee w/+ w/o Contrast Bilateral | $3,002.40 | $3,753.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Ankle w/ + w/o Contrast Bilateral | $3,002.40 | $3,753.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Hip w/ + w/o Contrast Bilateral | $3,002.40 | $3,753.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Ankle w/ + w/o Contrast Bilateral | $3,002.40 | $3,753.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Knee w/+ w/o Contrast Bilateral | $3,002.40 | $3,753.00 | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast Stroke Protocol | $1,389.60 | $1,737.00 | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $2,472.00 | $3,090.00 | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast Stroke Protocol | $1,389.60 | $1,737.00 | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $2,472.00 | $3,090.00 | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $3,158.40 | $3,948.00 | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $3,158.40 | $3,948.00 | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $2,135.20 | $2,669.00 | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $2,135.20 | $2,669.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Comp 2nd Trimester Survey | $727.20 | $909.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Comp 2nd Trimester Survey | $727.20 | $909.00 | 20% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screening Bilateral | $239.20 | $299.00 | 20% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Implant Digital Screening Bilat | $239.20 | $299.00 | 20% |
| Screening mammogram, both breasts CPT 77067 77067 Mammo Add-On | $239.20 | $299.00 | 20% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screening Bilateral | $239.20 | $299.00 | 20% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Implant Digital Screening Bilat | $239.20 | $299.00 | 20% |
| Screening mammogram, both breasts inpatient CPT 77067 77067 Mammo Add-On | $239.20 | $299.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $671.20 | $839.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 HMLA US TRANSVAGINAL NON-OB | $671.20 | $839.00 | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HMLA US TRANSVAGINAL NON-OB | $671.20 | $839.00 | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $671.20 | $839.00 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $728.80 | $911.00 | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $728.80 | $911.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4plus Views | $581.60 | $727.00 | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4plus Views | $581.60 | $727.00 | 20% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $196.00 | $245.00 | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $196.00 | $245.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $170.40 | $213.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $170.40 | $213.00 | 20% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Manual Differential | $84.00 | $105.00 | 20% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Differential | $143.20 | $179.00 | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Manual Differential | $84.00 | $105.00 | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Differential | $143.20 | $179.00 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $235.20 | $294.00 | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $235.20 | $294.00 | 20% |
| Kidney function blood test panel CPT 80069 Renal Pnl | $189.60 | $237.00 | 20% |
| Kidney function blood test panel inpatient CPT 80069 Renal Pnl | $189.60 | $237.00 | 20% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $182.40 | $228.00 | 20% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $182.40 | $228.00 | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, Free LC | $195.20 | $244.00 | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, Free LC | $195.20 | $244.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Screen | $107.20 | $134.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag LC | $195.20 | $244.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic | $195.20 | $244.00 | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Screen | $107.20 | $134.00 | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag LC | $195.20 | $244.00 | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Diagnostic | $195.20 | $244.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, Activated | $160.80 | $201.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $160.80 | $201.00 | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $160.80 | $201.00 | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated | $160.80 | $201.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $117.60 | $147.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT (INR) | $117.60 | $147.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 International Normalization Ratio | $117.60 | $147.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $117.60 | $147.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT (INR) | $117.60 | $147.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR | $117.60 | $147.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 International Normalization Ratio | $117.60 | $147.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $117.60 | $147.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $176.00 | $220.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $176.00 | $220.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 Protein,Ttl,U LC | $72.80 | $91.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic | $105.60 | $132.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 UA w Micro | $105.60 | $132.00 | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Protein,Ttl,U LC | $72.80 | $91.00 | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic | $105.60 | $132.00 | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA w Micro | $105.60 | $132.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick | $84.00 | $105.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick | $84.00 | $105.00 | 20% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis W/O Microscopy Clinic POC (RE) | $48.80 | $61.00 | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis W/O Microscopy Clinic POC (RE) | $48.80 | $61.00 | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE ProFee | $1,564.80 | $1,956.00 | 20% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE ProFee | $1,564.80 | $1,956.00 | 20% |
| Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE ProFee | $1,197.60 | $1,497.00 | 20% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE ProFee | $1,197.60 | $1,497.00 | 20% |
| Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR ProFee | $941.60 | $1,177.00 | 20% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR ProFee | $941.60 | $1,177.00 | 20% |
| Gallbladder removal, laparoscopic CPT 47562 47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY ProFee | $3,626.40 | $4,533.00 | 20% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY ProFee | $3,626.40 | $4,533.00 | 20% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 Repair initial inguinal hernia, age 5 years or older; reducible | $2,171.20 | $2,714.00 | 20% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ProFee | $2,280.00 | $2,850.00 | 20% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 Repair initial inguinal hernia, age 5 years or older; reducible | $2,171.20 | $2,714.00 | 20% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ProFee | $2,280.00 | $2,850.00 | 20% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENIS ProFee | $5,308.80 | $6,636.00 | 20% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENIS ProFee | $5,308.80 | $6,636.00 | 20% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 YAG LASER CHARGE | $1,943.20 | $2,429.00 | 20% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 YAG LASER CHARGE | $1,943.20 | $2,429.00 | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 ESI lumbar or sacral with fluoroscopy | $419.20 | $524.00 | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC ProFee | $419.20 | $524.00 | 20% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC ProFee | $419.20 | $524.00 | 20% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 ESI lumbar or sacral with fluoroscopy | $419.20 | $524.00 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 Injection(s), anesthetic agent(s) and/or steroid ProFee | $1,204.00 | $1,505.00 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH IMAGING G ProFee | $1,204.00 | $1,505.00 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH IMAGING G ProFee | $1,204.00 | $1,505.00 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 Injection(s), anesthetic agent(s) and/or steroid ProFee | $1,204.00 | $1,505.00 | 20% |
| Prostate biopsy CPT 55700 55700 Biopsy, prostate; needle or punch, single or multiple, any approach | $621.60 | $777.00 | 20% |
| Prostate biopsy CPT 55700 55700 BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH ProFee | $652.80 | $816.00 | 20% |
| Prostate biopsy inpatient CPT 55700 55700 Biopsy, prostate; needle or punch, single or multiple, any approach | $621.60 | $777.00 | 20% |
| Prostate biopsy inpatient CPT 55700 55700 BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH ProFee | $652.80 | $816.00 | 20% |
| Removal of a breast lump, open surgery CPT 19120 19120 EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TI ProFee | $1,428.00 | $1,785.00 | 20% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TI ProFee | $1,428.00 | $1,785.00 | 20% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROM ProFee | $861.60 | $1,077.00 | 20% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROM ProFee | $861.60 | $1,077.00 | 20% |
| Tonsil and adenoid removal, child under 12 CPT 42820 42820 TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12 ProFee | $1,304.00 | $1,630.00 | 20% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12 ProFee | $1,304.00 | $1,630.00 | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $785.60 | $982.00 | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE ProFee | $785.60 | $982.00 | 20% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $785.60 | $982.00 | 20% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE ProFee | $785.60 | $982.00 | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, collection of specimen brsh/floss | $722.40 | $903.00 | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 ESOPHAGOGASTRODUODENOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC INCLUDING COLLECTION OF S ProFee | $738.40 | $923.00 | 20% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, collection of specimen brsh/floss | $722.40 | $903.00 | 20% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 ESOPHAGOGASTRODUODENOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC INCLUDING COLLECTION OF S ProFee | $738.40 | $923.00 | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 90847 FAMILY PSYCHOTHERAPY W/ PATIENT PRESENT | $174.40 | $218.00 | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 Family psychotherapy w/ patient present (conjoint) | $235.58 | $294.48 | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 Family psychotherapy, conjoint psychotherapy, with patient present | $235.58 | $294.48 | 20% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 FAMILY PSYCHOTHERAPY W/ PATIENT PRESENT | $174.40 | $218.00 | 20% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family psychotherapy, conjoint psychotherapy, with patient present | $235.58 | $294.48 | 20% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family psychotherapy w/ patient present (conjoint) | $235.58 | $294.48 | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY PSYCHOTHERAPY W/OUT PATIENT PRESENT | $150.40 | $188.00 | 20% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 FAMILY PSYCHOTHERAPY W/OUT PATIENT PRESENT | $150.40 | $188.00 | 20% |
| Group psychotherapy session CPT 90853 90853 GROUP PSYCHOTHERAPY | $51.20 | $64.00 | 20% |
| Group psychotherapy session CPT 90853 90853 Group psychotherapy Charge | $60.00 | $75.00 | 20% |
| Group psychotherapy session CPT 90853 90853 Group psychotherapy (other than of a multiple-family group) | $235.58 | $294.48 | 20% |
| Group psychotherapy session inpatient CPT 90853 90853 GROUP PSYCHOTHERAPY | $51.20 | $64.00 | 20% |
| Group psychotherapy session inpatient CPT 90853 90853 Group psychotherapy Charge | $60.00 | $75.00 | 20% |
| Group psychotherapy session inpatient CPT 90853 90853 Group psychotherapy (other than of a multiple-family group) | $235.58 | $294.48 | 20% |
| New patient office visit, about 30 minutes CPT 99203 99203 Office/Outpatient Visit - New Patient, Level 3 (30-44 min) | $160.00 | $200.00 | 20% |
| New patient office visit, about 30 minutes CPT 99203 99203 PRO LEVEL 3 VISIT NEW PT ProFee | $168.00 | $210.00 | 20% |
| New patient office visit, about 30 minutes CPT 99203 99203 BH Office Visit New Pt. Level 3 | $322.45 | $403.06 | 20% |
| New patient office visit, about 30 minutes CPT 99203 99203 New Patient- Detailed | $468.80 | $586.00 | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 Office/Outpatient Visit - New Patient, Level 3 (30-44 min) | $160.00 | $200.00 | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 PRO LEVEL 3 VISIT NEW PT ProFee | $168.00 | $210.00 | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 BH Office Visit New Pt. Level 3 | $322.45 | $403.06 | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 New Patient- Detailed | $468.80 | $586.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 99204 PRO LEVEL 4 VISIT NEW PT ProFee | $284.00 | $355.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 99204 BH Office Visit New Pt. Level 4 | $322.45 | $403.06 | 20% |
| New patient office visit, about 45 minutes CPT 99204 99204 Office/Outpatient Visit - New Patient, Level 4 (45-59 min) | $322.45 | $403.06 | 20% |
| New patient office visit, about 45 minutes CPT 99204 99204 New Patient- Comprehensive Mod. Complexity | $680.80 | $851.00 | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 PRO LEVEL 4 VISIT NEW PT ProFee | $284.00 | $355.00 | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 BH Office Visit New Pt. Level 4 | $322.45 | $403.06 | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 Office/Outpatient Visit - New Patient, Level 4 (45-59 min) | $322.45 | $403.06 | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 New Patient- Comprehensive Mod. Complexity | $680.80 | $851.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 99205 Office/Outpatient Visit - New Patient, Level 5 (60 Min) | $320.00 | $400.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 99205 PRO VST NEW PAT COMPRE/HIGH/COMPL ProFee | $364.80 | $456.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 99205 New Patient- Comprehensive High Complexity | $680.80 | $851.00 | 20% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 Office/Outpatient Visit - New Patient, Level 5 (60 Min) | $320.00 | $400.00 | 20% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 PRO VST NEW PAT COMPRE/HIGH/COMPL ProFee | $364.80 | $456.00 | 20% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 New Patient- Comprehensive High Complexity | $680.80 | $851.00 | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 Preventive Evaluation, New Pt; 18-39 Yrs | $322.45 | $403.06 | 20% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 Preventive Evaluation, New Pt; 18-39 Yrs | $322.45 | $403.06 | 20% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 Preventive Evaluation, New Pt; 40-64 Yrs | $183.20 | $229.00 | 20% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 Preventive Evaluation, New Pt; 40-64 Yrs | $183.20 | $229.00 | 20% |
| Psychotherapy session, 30 minutes CPT 90832 90832 Psychotherapy, 30 minutes with patient and/or family member | $100.00 | $125.00 | 20% |
| Psychotherapy session, 30 minutes CPT 90832 90832 Psychotherapy, 30 min Charge | $240.00 | $300.00 | 20% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psychotherapy, 30 minutes with patient and/or family member | $100.00 | $125.00 | 20% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psychotherapy, 30 min Charge | $240.00 | $300.00 | 20% |
| Psychotherapy session, 60 minutes CPT 90837 90837 Psychotherapy, 60 minutes with patient and/or family member | $279.20 | $349.00 | 20% |
| Psychotherapy session, 60 minutes CPT 90837 90837 Psychotherapy, 60 min Charge | $280.00 | $350.00 | 20% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psychotherapy, 60 minutes with patient and/or family member | $279.20 | $349.00 | 20% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psychotherapy, 60 min Charge | $280.00 | $350.00 | 20% |